Abstract:
PURPOSE:The review aims to provide a summary of the current literature regarding common medications prescribed in orthopaedic surgery and their potential implications in COVID-19 patients. METHODS:A systematic review was performed using the PRISMA guidelines. All clinical studies, reviews, consensus and guidelines related to the above medications and COVID-19 were included. RESULTS:A total of 18 articles were included. The use of analgesia, anti-inflammatories, steroids, anticoagulants, antibiotics, vitamin B, vitamin C and vitamin D and their potential impact on COVID-19 patients were reported. CONCLUSION:Eight main recommendations were derived from the review. Firstly, paracetamol remains the first line of analgesia and antipyretic. Secondly, there is no need to avoid NSAIDs for COVID-19 patients. Thirdly, opioids have the potential for immunosuppression in addition to respiratory depression and, therefore, should be prescribed with care in COVID-19 patients. Fourthly, patients with conditions where steroids are proven to be efficacious can continue to receive their steroids; otherwise, systemic steroids are not recommended for COVID-19 patients. Fifthly, orthopaedic surgeons following up on COVID-19 patients who are using steroids should continue to follow them up for possible avascular necrosis. Sixthly, whenever possible, oral anticoagulation should be converted to parental heparin. Seventhly, common orthopaedic antibiotics including penicillin and clindamycin are safe to continue for COVID-19 patients. However, for COVID-19 patients, the antibiotics can potentially be switched to macrolides and tetracyclines if the organisms are sensitive. Lastly, prescription for vitamins B, C and D should continue as per usual clinical practice.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Tan SHS,Hong CC,Saha S,Murphy D,Hui JHdoi
10.1007/s00264-020-04643-5subject
Has Abstractpub_date
2020-08-01 00:00:00pages
1599-1603issue
8eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04643-5journal_volume
44pub_type
杂志文章abstract:PURPOSE:Aged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3161-z
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. MATERIALS AND METHODS:This cohort study compared 129 patients tha...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3788-z
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Various open injury scores have been devised to aid the difficult decision of salvage or amputation following open fractures of the lower limb. Our aim of the study was to compare the performance of mangled extremity severity score (MESS), limb salvage index (LSI), orthopaedic trauma association-open fractur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04538-5
更新日期:2020-09-01 00:00:00
abstract::Between 1991 and 2002, we treated 21 patients with tibial bone loss using a conventional external fixator. Nine patients had an infected open fracture and 12 patients an infected nonunion. After corticotomy, the bone was distracted at the rate of 1 mm (1 mm/step) on alternate days or every 48 h. The mean follow-up per...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0553-2
更新日期:2004-06-01 00:00:00
abstract:PURPOSE:We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). METHODS:Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who h...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1993-3
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:Open reduction and internal fixation (ORIF) using an extended lateral approach combined with plate osteosynthesis represents the current gold standard in calcaneal fracture treatment, but it is associated with a wound complication rate of up to 30%. Literature suggests that micro-circulation is one of the key f...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4031-7
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:Acetabular bone loss is a challenging problem in revision total hip arthroplasty (rTHA). Severe bone loss is not uncommon especially in periprosthetic joint infection. Surgical options, including revision shells, rings, and cages-with or without bone allograft-are affected by high complication rates and unsatis...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04623-9
更新日期:2020-10-01 00:00:00
abstract::We used scanning electron microscopy to perform an ultrastructural analysis and two optical interferometric profilers to measure roughness on 40 prosthetic femoral heads. We expressed roughness as Ra (roughness average) value and Rsk (roughness skewness) value. Our results show that in order to obtain an ideal surface...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000129
更新日期:2000-01-01 00:00:00
abstract::A patient is reported who had multiple cartilaginous exostoses with malignant transformation of a pelvic osteochondroma. ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s002640050136
更新日期:1997-01-01 00:00:00
abstract::The purpose of this study was to evaluate the outcome of subcoracoid pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. This type of tear involves complete rupture of the subscapularis in combination with either the supraspinatus alone or the supraspinatus and infraspinatus. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0799-9
更新日期:2010-06-01 00:00:00
abstract::The objective of this study was to select factors related to the prognosis and curative effect for posterolateral fusion (PLF) of lumbar low-grade isthmic spondylolisthesis (LGIS). Of 125 patients who accepted PLF treatment, 119 obtained solid union in this prospective study. Statistical analysis was used to evaluate ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0627-7
更新日期:2009-10-01 00:00:00
abstract::We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050259
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:Literature on the potential release of trace elements following implantation of Zirconia-platelet toughened alumina (ZPTA) ceramic components is scant. The present study therefore analysed the in vitro and in vivo potential release of ions from ZPTA bearings. MATERIAL AND METHODS:An in vitro and in vivo s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3568-1
更新日期:2018-01-01 00:00:00
abstract::Once the privilege of few clinical scholars in the field of orthopaedics, medical writing has become a must for career advancement. The number of papers submitted and published yearly has increased steadily, and with the development of the Internet, manuscript and journals have become easily accessible. Medical writin...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-2189-6
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:Rheumatoid arthritis has been associated with poor clinical outcomes in hemiarthroplasty and unconstrained total shoulder arthroplasty. The reverse shoulder arthroplasty can be utilized to address the shortcomings of hemiarthroplasty and unconstrained total shoulder arthroplasty in the inflammatory arthritis pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04373-3
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:The aim of this study was to analyse the clinical outcome of a modified Sever-L'Episcopo technique for release of contracted muscles and tendon transfer to restore function of the shoulder joint in patients with Erb's palsy. METHODS:A case series was conducted from March 1988 to November 2009 for 19 patients. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2592-7
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:The increase in methicillin-resistant Staphylococcus aureus (MRSA) infections is currently a major health care problem. Vancomycin is still often the first-line anti-microbiological agent for treating such infections; however, a recent decline in efficacy of vancomycin in MRSA infections has raised concerns and...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2149-1
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:The study compared the impact of the Kirschner wires versus Herbert screw fixation on the rate of union, time to union, correction of deformity, and clinical outcome in adults with unstable scaphoid waist fracture nonunions without avascular necrosis. METHODS:We prospectively randomized 122 patients to undergo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04730-7
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. METHODS:A prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4057-x
更新日期:2019-02-01 00:00:00
abstract::Short stem prostheses that preserve the femoral neck are becoming more and more popular. The CFP (collum femoris preserving) has been introduced especially for the treatment of younger patients. However, information about remodelling, complications and learning curve are thus far rare. We present a retrospective study...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1020-x
更新日期:2011-05-01 00:00:00
abstract::Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00184916
更新日期:1995-01-01 00:00:00
abstract::The authors operated on 22 patients with scapular body fractures, with a mean age of 35 years. The minimal follow-up was 12 months. All patients were treated from the Judet posterior approach. The study included 14 cases of an isolated body fracture, three of scapular body fracture combined with fracture of the scapul...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1072-y
更新日期:2011-05-01 00:00:00
abstract::We describe a hemiarthroplasty of the shoulder with an acrylic Judet hip prosthesis, inserted after the excision of a giant cell tumour of the head of the humerus, which functioned well for 39 years. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-04284-9
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:Our aim was to elucidate the pooled outcome of the CementLess Spotorno (CLS) system in total hip arthroplasty (THA). METHODS:We compared the outcome of clinical inventor studies, independent clinical studies, and worldwide register data. The main endpoints for analysis were revision rates. RESULTS:Twenty clin...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1867-8
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to investigate whether cement-augmented screw osteosynthesis results in stability comparable to conventional fixed-angle locking plate osteosynthesis using cadaveric bones to model a Sanders type 2B fracture. METHODS:Seven pairs of fresh frozen human calcanei and the corresponding...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2334-x
更新日期:2014-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00264-018-4061-1
更新日期:2019-05-01 00:00:00
abstract::In achondroplasts limb lengthening can restore the normal proportion of the body. The Ilizarov method of limb lengthening has been used in 37 patients, 23 of whom have had an adequate follow-up after operation. In this technique the cortex of the bone is partially cut, leaving the medulla intact; the two bone segments...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547160
更新日期:1988-01-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 00:00:00
abstract::The authors present 43 cases of comminuted intertrochanteric fracture, treated by replacement with a Leinbach prosthesis. The average age of the patient was 81 years, the average time of operation was 70.8 min, and the average blood loss was 502 cc. 88% of the patients were walking within 4-10 days. One deep infection...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266327
更新日期:1979-03-01 00:00:00